Chronic disease management, Mount Barker

At Plantagenet Medical, we delve deep into the root causes of chronic conditions, focusing on comprehensive care that goes beyond symptoms to enhance your overall quality of life.

Personalised chronic disease management

Recognising that one size doesn’t fit all, our multidisciplinary team works together to tailor your treatment plan to meet your specific needs and goals. Through regular monitoring and follow-up appointments, we adjust your management plan as required, ensuring the treatments respond to your progress and remain effective. At Plantagenet Medical, we empower you to take an active role in managing your health with education and self-care strategies, helping you become a more informed and engaged participant in your healthcare journey.

To best serve your individual needs, we offer two structured management plans, each designed to coordinate and optimise the care you receive:

  • GP Management Plan (GPMP): This plan is your personalised roadmap for managing your health, crafted together with your GP. It outlines your health goals and the steps you’ll take together, ensuring every part of your treatment is clear and focused directly on improving your wellbeing.
  • Team Care Arrangement (TCA): If you need care from several health experts, our TCA makes sure they all work together smoothly. Your GP leads this team, coordinating everything so your treatments are unified and effective, focusing on what’s best for your health. You are only eligible for a Team Care Arrangement if you also have a GP Management Plan.

How we manage chronic disease

Comprehensive plans

Our highly personalised management plans go beyond your primary chronic health concerns to determine how other aspects of your health and lifestyle might be affecting your wellbeing. At Plantagenet Medical, we strive to improve your quality of life overall.

Multidisciplinary care

Our approach to chronic disease management is a team effort. We’ve assembled a diverse group of highly skilled healthcare practitioners — from GPs to allied health professionals to specialists — to assess your health holistically and provide personalised, responsive care from every angle.

Regular monitoring

With regular follow-up appointments and monitoring, we fine-tune your management plan to reflect your progress, ensuring your treatment continues to meet your needs while remaining as effective as possible.

Education and empowerment

At Plantagenet Medical, we acknowledge that your wellbeing is your responsibility too. That’s why — through education and self-care strategies — we empower you to take a more active role in managing your chronic health concerns.

Why choose Plantagenet Medical?

Whole-person health

Our integrated services go beyond immediate care, emphasising long-term, whole-person wellness through education, prevention, and comprehensive treatment options.

Community focus

Having dedicated ourselves to caring for the Plantagenet area for over 35 years, our medical centre is deeply embedded in the local community.

Integrated healthcare

Our multidisciplinary team works together under one roof — and in tandem with the adjacent Plantagenet Hospital — to provide seamless, coordinated care.

State-of-the-art care

Our skilled, empathetic practitioners stay up to date with the latest medical knowledge and practices. This is part of our commitment to maintaining the highest standards of care.


We prioritise listening to understand, not to judge. When you visit us, you can take as much time as you need. We want to make sure you feel heard, valued, and respected.


Our family-oriented approach means that every member of your family — from children to seniors — receives the highest quality of care in a welcoming environment.


How do you define a chronic medical condition?

A chronic medical condition is one that is likely to persist for at least 6 months, has already lasted for at least 6 months, or is terminal. These conditions require ongoing management and are eligible for a management plan.

What types of chronic conditions do you manage?

Our team is equipped to manage a variety of chronic conditions, including asthma, emphysema and arthritis, amongst others.

How often will I need to visit you for chronic disease management?

Most reviews are done 3-6 monthly, with a comprehensive new plan every 1-2 years.

Are there Medicare benefits for chronic disease management?

Your GP Management Plan (care plan) appointments are bulk billed. If you also have a Team Care Arrangement, you will be eligible for Medicare rebates on up to 5 allied health visits per year, as they relate to your care plan.

How do you manage care for patients with multiple chronic conditions?

You will have one comprehensive assessment that encompasses all of your chronic conditions, with your personalised goals and management plan.

After hours support

For medical emergencies, dial 000. Plantagenet Hospital’s Emergency Department is open 24/7.

We offer after-hour appointments some Monday evenings, billed at the full private rate. Book online via Automed or call our admin team: (08) 9892 1000. For free advice after hours, contact Health Direct at 1800 022 222.

If you’re a regular patient in need of after-hours consultation, you can call (08) 9892 1000. Follow the prompts towards the end of the voice message, and you can be put through to our on-call GP for advice. Please note… There is a $150 fee for an after-hours phone consultation of up to 15 minutes duration, payable on the next business day.There may not be any Medicare rebate available, depending on your specific situation. If you require an after-hours home visit, your doctor will advise you of the private rate prior to attending.